<%@ page language="java" import="java.util.*" contentType="text/html; charset=UTF-8" %>
<!doctype html>
<html>
<head>
    <meta charset="utf-8">
    <title>无标题文档</title>
</head>

<body>
    <form action="pat!patAdd">
        <p>病人姓名* <input type="text" placeholder="请输入病人姓名" name="patient.name"></p>
        <p>手机号* <input type="text" placeholder="请输入手机号" name="patient.phone"></p>
        <p>家庭地址* <input type="text" placeholder="请输入家庭地址" name="patient.address"></p>
        <p>医保卡号* <input type="text" placeholder="请输入医保卡号" name="patient.idMedicare"></p>
        <p>身份证号* <input type="text" placeholder="请输入身份证号" name="patient.idCard"></p>
        <p>性别* <input type="text" name="sex"></p>
        <p>出生日期* <input type="text" disabled="disabled"></p>

        <button>保存</button>
    </form>
</body>
</html>
